DIANNE J POLIAKOFF DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****36

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

POLIAKOFF

Suffix

DVM

Business Name

DIANNE J POLIAKOFF DVM

Original Issue Date

08/12/1998

Effective Date

12/29/2016

Expiration Date

01/31/2019

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019